Bill > S09464

This bill modifies how payment rates are calculated for adult day health care services provided by residential health care facilities, extending current provisions until April 1, 2026, and then establishing a new payment structure thereafter. Specifically, starting April 1, 2026, the operating component of these payment rates will be set at sixty-five percent of the sponsoring residential health care facility's inpatient rate, with a cap on annual increases of fifty percent compared to the previous year's rate. There are also minimum rate floors established for certain geographic areas, with the rate being $150 in New York City and its surrounding counties (Nassau, Suffolk, Westchester) and $130 for the rest of the state if sixty-five percent of the inpatient rate falls below these amounts. Additionally, the bill clarifies that beginning January 1, 2008, the operating component of these rates will no longer include transportation costs. The term "residential health care facility" refers to nursing homes or similar long-term care facilities.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S9464